Oliveira Samanta Vicente, Rocha Andre Caroli, Ceccheti Marcelo Minharro, Gallo Camila de Barros, Alves Fábio Abreu
Universidade de São Paulo (USP), School of Dentistry, Stomatology Department. São Paulo, SP, Brazil.
Universidade de São Paulo (USP), Hospital das Clínicas, Medical School, Department of Oral and Maxillofacial Surgery. São Paulo, SP, Brazil.
Autops Case Rep. 2018 Sep 14;8(3):e2018042. doi: 10.4322/acr.2018.042. eCollection 2018 Jul-Sep.
Odontogenic myxoma is an aggressive benign odontogenic tumor, accounting for 3-6% of all the odontogenic tumors in adults. The incidence among children is lower. Due to its clinical behavior, there is no consensus on the best treatment. In this paper, the authors report the case of a 9-year-old girl with the diagnosis of odontogenic myxoma. The panoramic X-ray showed an extensive radiolucent lesion involving the left mandibular body causing teeth displacement. The treatment consisted of tumor enucleation followed by vigorous curettage of the bone walls. Both the base of the mandible and the inferior alveolar nerve were preserved. The patient is asymptomatic after 6 months of surgery. The age of the patient and the radiographic features were taken into account when deciding in favor of the conservative treatment.
牙源性黏液瘤是一种侵袭性良性牙源性肿瘤，占成人所有牙源性肿瘤的3% - 6%。儿童中的发病率较低。由于其临床行为，对于最佳治疗方法尚无共识。在本文中，作者报告了一例诊断为牙源性黏液瘤的9岁女孩病例。全景X线片显示左下颌骨体有广泛的透射性病变，导致牙齿移位。治疗方法为肿瘤摘除术，随后对骨壁进行大力刮除。下颌骨基部和下牙槽神经均得以保留。术后6个月患者无症状。在决定采用保守治疗时考虑了患者的年龄和影像学特征。
